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Is Gentiva's Stock Cheaper Than It Looks?

Let's take a look.

Numbers can lie -- but they're the best first step in determining whether a stock is a buy. In this series, we use some carefully chosen metrics to size up a stock's true value based on the following clues:

The current price multiples.

The consistency of past earnings and cash flow.

How much growth we can expect.

Let's see what those numbers can tell us about how expensive or cheap Gentiva Health Services(Nasdaq: GTIV) might be.

The current price multiplesFirst, we'll look at most investors' favorite metric: the P/E ratio. It divides the company's share price by its earnings per share -- the lower, the better.

Then, we'll take things up a notch with a more advanced metric: enterprise value to unlevered free cash flow. This divides the company's enterprise value (basically, its market cap plus its debt, minus its cash) by its unlevered free cash flow (its free cash flow, adding back the interest payments on its debt). Like the P/E, the lower this number is, the better.

Analysts argue about which is more important -- earnings or cash flow. Who cares? A good buy ideally has low multiples on both.

Gentiva has a negative P/E ratio and an EV/FCF ratio of 9.7 over the trailing 12 months. If we stretch and compare current valuations to the five-year averages for earnings and free cash flow, Gentiva has a negative P/E ratio and a five-year EV/FCF ratio of 12.5.

A positive one-year ratio under 10 for both metrics is ideal (at least in my opinion). For a five-year metric, under 20 is ideal.

Gentiva has a mixed performance in hitting the ideal targets, but let's see how it compares against some competitors and industry mates.

Company

1-Year P/E

1-Year EV/FCF

5-Year P/E

5-Year EV/FCF

Gentiva

NM

9.7

NM

12.5

Almost Family(Nasdaq: AFAM)

6.1

4.5

7.1

5.9

Amedisys(Nasdaq: AMED)

NM

5.5

61.3

3.3

LHC Group(Nasdaq: LHCG)

NM

NM

9.5

9.0

Source: S&P Capital IQ; NM = not meaningful because of losses.

Numerically, we've seen how Gentiva's valuation rates on both an absolute and relative basis. Next, let's examine...

The consistency of past earnings and cash flowAn ideal company will be consistently strong in its earnings and cash flow generation.

In the past five years, Gentiva's net income margin has ranged from -23.9% to 11.3%. In that same time frame, unlevered free cash flow margin has ranged from 3.2% to 9.2%.

How do those figures compare with those of the company's peers? See for yourself:

Source: S&P Capital IQ; margin ranges are combined.

Additionally, over the last five years, Gentiva has tallied up four years of positive earnings and five years of positive free cash flow.

Next, let's figure out...

How much growth we can expectAnalysts tend to comically overstate their five-year growth estimates. If you accept them at face value, you willoverpay for stocks. But while you should definitely take the analysts' prognostications with a grain of salt, they can still provide a useful starting point when compared to similar numbers from a company's closest rivals.

Let's start by seeing what this company's done over the past five years. Because of losses, Gentiva's past EPS growth rate isn't meaningful. The same goes for Amedisys and LHC. Only Almost Family registers with a meaningful growth rate:

Source: S&P Capital IQ; EPS growth shown.

And here's how it measures up with regard to the growth analysts expect over the next five years:

Source: S&P Capital IQ; estimates for EPS growth.

The bottom lineThe pile of numbers we've plowed through has shown us the price multiples shares of Gentiva are trading at, the volatility of its operational performance, and what kind of growth profile it has -- both on an absolute and a relative basis.

The more consistent a company's performance has been and the more growth we can expect, the more we should be willing to pay. We've gone well beyond looking at a negative P/E ratio, and we see that Gentiva's EV/FCF ratios are much cheaper-looking than its P/E ratios. Much of the difference comes via a massive noncash asset writedown and goodwill impairment in the last year. So while the EV/FCF ratios give us some hope, it's a mixed blessing.

But these are just the initial numbers. If you find Gentiva's numbers or story compelling, don't stop. Continue your due diligence process until you're confident one way or the other. As a start, add it to My Watchlist to find all of our Foolish analysis.

To see the stocks that I've researched beyond the initial numbers and bought in my public real-money portfolio, click here.